| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,026 |
5,944 |
$328K |
| V2020 |
Frames, purchases |
6,323 |
6,209 |
$219K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,202 |
5,122 |
$179K |
| 92015 |
Determination of refractive state |
6,549 |
6,468 |
$143K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,483 |
5,386 |
$118K |
| V2760 |
Scratch resistant coating, per lens |
6,055 |
5,957 |
$89K |
| V2710 |
Slab off prism, glass or plastic, per lens |
134 |
133 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
60 |
59 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
53 |
53 |
$2K |
| 92341 |
|
56 |
56 |
$1K |